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Curr Rev Musculoskelet Med. 2017 Jun;10(2):233-239. doi: 10.1007/s12178-017-9407-6.

Technology assessment and cost-effectiveness in orthopedics: how to measure outcomes and deliver value in a constantly changing healthcare environment.

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UPMC Center for Sports Medicine, University of Pittsburgh, 3200 S Water St, Pittsburgh, PA, 15203, USA.
Henry Ford Health System, Department of Orthopedic Surgery, Henry Ford Hospital, 2799 W. Grand Blvd., Detroit, MI, 48202, USA.
Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, 1400 Barbara Jordan Blvd, Austin, TX, 78723, USA.



The purpose of this study is to review the basic concepts of healthcare value, patient outcome measurement, and cost-effectiveness analyses as they relate to the introduction of new surgical techniques and technologies in the field of orthopedic surgery.


An increased focus on financial stewardship in healthcare has resulted in a plethora of cost-effectiveness and patient outcome research. Recent research has made great progress in identifying orthopedic technologies that provide exceptional value and those that do not meet adequate standards for widespread adoption. As the pace of technological innovation advances in lockstep with an increased focus on value, orthopedic surgeons will need to have a working knowledge of value-based healthcare decision-making. Value-based healthcare and cost-effectiveness analyses can aid orthopedic surgeons in making ethical and fiscally responsible treatment choices for their patients.


Cost-effectiveness; Healthcare; Patient-reported outcomes; Technology assessment; Time-driven activity-based cost identification; Value

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